Literature DB >> 17342461

Antibiotic misuse: a prospective clinical audit in a French university hospital.

C Pulcini1, E Cua, F Lieutier, L Landraud, P Dellamonica, P M Roger.   

Abstract

The aim of the study presented here was to prospectively audit antibiotic prescriptions given to patients attending L'Archet Hospital in Nice, France, with details of the initial medical examination included in the audit procedure. A total of 122 antibiotic treatments were evaluated, i.e. 31% of all antibiotic therapies initiated in the eight participating departments over the 9-week study period. Forty-two (34%) treatments were found to be unnecessary due to misdiagnosis, and 36 (30%) other treatments were inappropriate. Misdiagnosis, due to the misinterpretation or lack of clinical, microbiological and/or imaging data is thus a major cause of antibiotic misuse. Improvement in the diagnostic process should become part of antibiotic policy.

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Year:  2007        PMID: 17342461     DOI: 10.1007/s10096-007-0277-5

Source DB:  PubMed          Journal:  Eur J Clin Microbiol Infect Dis        ISSN: 0934-9723            Impact factor:   3.267


  12 in total

1.  Evaluation of rational antibiotic use.

Authors:  O Tünger; G Dinç; B Ozbakkaloglu; U C Atman; U Algün
Journal:  Int J Antimicrob Agents       Date:  2000-07       Impact factor: 5.283

2.  Quality of antimicrobial drug prescription in hospital.

Authors:  J W van der Meer; I C Gyssens
Journal:  Clin Microbiol Infect       Date:  2001       Impact factor: 8.067

3.  Appropriate use of restricted antimicrobial agents in hospitals: the importance of empirical therapy and assisted re-evaluation.

Authors:  M Thuong; F Shortgen; V Zazempa; E Girou; C J Soussy; C Brun-Buisson
Journal:  J Antimicrob Chemother       Date:  2000-09       Impact factor: 5.790

4.  Evaluation of antibiotic use in a hospital with an antibiotic restriction policy.

Authors:  Ayşe Erbay; Aylin Colpan; Hürrem Bodur; Mustafa A Cevik; Matthew H Samore; Onder Ergönül
Journal:  Int J Antimicrob Agents       Date:  2003-04       Impact factor: 5.283

5.  Optimizing antibiotic therapy-the Aberdeen experience.

Authors:  Y Kumarasamy; T Cadwgan; I A Gillanders; B Jappy; R Laing; I M Gould
Journal:  Clin Microbiol Infect       Date:  2003-05       Impact factor: 8.067

6.  [Audit on antibiotic prescriptions in a department of infectious diseases].

Authors:  Jean-Ralph Zahar; Parinaz Ghaffari; Isabelle Kamga; Véronique Perronne
Journal:  Presse Med       Date:  2003-08-09       Impact factor: 1.228

7.  A study of antimicrobial misuse in a university hospital.

Authors:  D G Maki; A A Schuna
Journal:  Am J Med Sci       Date:  1978 May-Jun       Impact factor: 2.378

8.  CDC definitions for nosocomial infections, 1988.

Authors:  J S Garner; W R Jarvis; T G Emori; T C Horan; J M Hughes
Journal:  Am J Infect Control       Date:  1988-06       Impact factor: 2.918

9.  Antibiotic misuse in medium-sized Swiss hospitals.

Authors:  Av Bugnon-Reber; A de Torrenté; N Troillet; D Genné
Journal:  Swiss Med Wkly       Date:  2004-08-21       Impact factor: 2.193

10.  Prospective survey of antibiotic utilization in pediatric hospitalized patients to identify targets for improvement of prescription.

Authors:  M Potocki; J Goette; T D Szucs; D Nadal
Journal:  Infection       Date:  2003-12       Impact factor: 3.553

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  18 in total

1.  Antimicrobial stewardship in acute care centres: A survey of 68 hospitals in Quebec.

Authors:  Vincent Nault; Mathieu Beaudoin; Daniel Jg Thirion; Michel Gosselin; Benoit Cossette; Louis Valiquette
Journal:  Can J Infect Dis Med Microbiol       Date:  2008-05       Impact factor: 2.471

2.  Unsolicited post-prescription antibiotic review in surgical and medical wards: factors associated with counselling and physicians' compliance.

Authors:  P Lesprit; C Landelle; C Brun-Buisson
Journal:  Eur J Clin Microbiol Infect Dis       Date:  2012-08-24       Impact factor: 3.267

3.  Impact of Infectious Diseases training in the perception of antibiotic resistance and rational use of antibiotics among Spanish medical students - a cross-sectional study.

Authors:  José Ramón Yuste; Andrés Blanco-Di Matteo; Fernando Gruber
Journal:  BMC Med Educ       Date:  2022-07-15       Impact factor: 3.263

4.  Knowledge, attitudes, and perceptions about antibiotic use and antimicrobial resistance among final year undergraduate medical and pharmacy students at three universities in East Africa.

Authors:  Margaret Lubwama; Jackson Onyuka; Kirabo Tess Ayazika; Leoson Junior Ssetaba; Joseph Siboko; Obedi Daniel; Martha F Mushi
Journal:  PLoS One       Date:  2021-05-07       Impact factor: 3.240

5.  Different patterns of inappropriate antimicrobial use in surgical and medical units at a tertiary care hospital in Switzerland: a prevalence survey.

Authors:  Alexia Cusini; Silvana K Rampini; Vineeta Bansal; Bruno Ledergerber; Stefan P Kuster; Christian Ruef; Rainer Weber
Journal:  PLoS One       Date:  2010-11-16       Impact factor: 3.240

6.  Intern doctors' views on the current and future antibiotic resistance situation of Chattagram Maa O Shishu Hospital Medical College, Bangladesh.

Authors:  Rozina Hoque; Asma Mostafa; Mainul Haque
Journal:  Ther Clin Risk Manag       Date:  2015-08-11       Impact factor: 2.423

7.  Exploring the coverage of antimicrobial stewardship across UK clinical postgraduate training curricula.

Authors:  Timothy M Rawson; Thomas P Butters; Luke S P Moore; Enrique Castro-Sánchez; Fiona J Cooke; Alison H Holmes
Journal:  J Antimicrob Chemother       Date:  2016-07-17       Impact factor: 5.790

8.  Educational resource for antimicrobial resistance and stewardship for dentistry programmes: a research protocol.

Authors:  Chuan Yok Ang; Jagjit Singh Dhaliwal; Siti Hanna Muharram; Muhammad Eid Akkawi; Zahid Hussain; Hanif Rahman; Yuh Yen Kok; Sachinjeet Kaur Sodhi Dhaliwal; Long Chiau Ming
Journal:  BMJ Open       Date:  2021-07-07       Impact factor: 2.692

9.  Assisted knowledge discovery for the maintenance of clinical guidelines.

Authors:  Emilie Pasche; Patrick Ruch; Douglas Teodoro; Angela Huttner; Stephan Harbarth; Julien Gobeill; Rolf Wipfli; Christian Lovis
Journal:  PLoS One       Date:  2013-04-30       Impact factor: 3.240

Review 10.  How to educate prescribers in antimicrobial stewardship practices.

Authors:  Céline Pulcini; Inge C Gyssens
Journal:  Virulence       Date:  2013-01-29       Impact factor: 5.882

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